STAY HEALTHY | RETURN SMARTER | RETURN STRONGER THANK YOU STAY - - PowerPoint PPT Presentation

STAY HEALTHY | RETURN SMARTER | RETURN STRONGER

THANK YOU

STAY HEALTHY | RETURN SMARTER | RETURN STRONGER

CALM & STEADY APPROACH

URGENT ACTION
 TO PROTECT PUBLIC HEALTH LATER TIMING AND LIGHTER TOUCH IN PLACING RESTRICTIONS ON THE ECONOMY EMPHASIS ON MAKING 
 DATA-INFORMED DECISIONS

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

FLEXIBILITY FOR STATES TO TAILOR APPLICATION OF THESE CRITERIA TO LOCAL CIRCUMSTANCES

SYMPTOMS CASES HOSPITALS

Downward trajectory of influenza-like illnesses (ILI) reported within a 14-day period

AND

Downward trajectory of COVID-like syndromic cases reported within a 14-day period Downward trajectory of documented cases within a 14- day period

OR

Downward trajectory of positive tests as a percent of total tests within a 14-day period Treat all patients without crisis care.

AND

Robust testing program in place for at-risk healthcare workers, including emerging antibody testing

WHITE HOUSE PROPOSES STATE OR REGIONAL GATING CRITERIA

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

Downward trajectory of influenza-like illnesses (ILI) reported within a 14-day period

AND

Downward trajectory of COVID-like syndromic cases reported within a 14-day period

SYMPTOMS →

Dec 29 Jan 05 Jan 12 Jan 19 Jan 26 Feb 02 Feb 09 Feb 16 Feb 23 Mar 01 Mar 08 Mar 15 Mar 22 Mar 29 Apr 05 Apr 12 Apr 19 Apr 26 May 03 May 10 May 17

1.55% 1.5% 1.9% 1.95% 2.45% 2.4% 3.6% 4.4% 5.2% 6.15% 5.3% 4.8% 4.85% 6.35% 6.75% 7% 6.6% 7.2% 6.4% 6% 6.2%

3.55% 4.15% 4.65% 4.95% 5.55% 5.1% 6.7% 7.4% 6.8% 5.75% 3.4% 2.65% 2.25% 2.6% 2.25% 2.65% 2.9% 2.7% 2.25% 2.35% 2.8%

CLI Average visits ILI Inpatient Visits

1.55% Stay Home, Stay Healthy, Stay Connected Order 3/31/2020

COVID-LIKE-ILLNESS (CLI) SURVEILLANCE
 INFLUENZA-LIKE-ILLNESS (ILI) SURVEILLANCE

3.55%

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

CASES →

Downward trajectory of documented cases within a 14-day period

OR

Downward trajectory of positive tests as a percent of total tests within a 14-day period

150 300 450 600

3 / 2 / 2 2 3 / 5 / 2 2 3 / 8 / 2 2 3 / 1 1 / 2 2 3 / 1 4 / 2 2 3 / 1 7 / 2 2 3 / 2 / 2 2 3 / 2 3 / 2 2 3 / 2 6 / 2 2 3 / 2 9 / 2 2 4 / 1 / 2 2 4 / 4 / 2 2 4 / 7 / 2 2 4 / 1 / 2 2 4 / 1 3 / 2 2 4 / 1 6 / 2 2 4 / 1 9 / 2 2 4 / 2 2 / 2 2 4 / 2 5 / 2 2 4 / 2 8 / 2 2 5 / 1 / 2 2 5 / 4 / 2 2 5 / 7 / 2 2 5 / 1 / 2 2 5 / 1 3 / 2 2 5 / 1 6 / 2 2 5 / 1 9 / 2 2 5 / 2 2 / 2 2 5 / 2 5 / 2 2

Illnesses in the last 4-7 days may not be reported yet. Stay Home, Stay Healthy, Stay Connected Order 3/31/2020 Dine-In at Restaurants Closed 3/19/2020 Public Health Emergency Declaration Issued 3/11/2020 Schools Closed 3/15/2020

First Case

• f

COVID-19 1/26/2020

COVID-19 CASES BY DAY

Testing Blitz Announced 4/27/2020

12500 25000 37500 50000 J a n 1 9 J a n 2 6 F e b 2 3 M a r 1 M a r 8 M a r 1 5 M a r 2 2 M a r 2 9 A p r 5 A p r 1 2 A p r 1 9 A p r 2 6 M a y 3 M a y 1 M a y 1 7 M a y 2 4 PCR Tests

PERCENTAGE OF POSITIVE TESTS

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

J a n 1 9 J a n 2 6 F e b 2 3 M a r 1 M a r 8 M a r 1 5 M a r 2 2 M a r 2 9 A p r 5 A p r 1 2 A p r 1 9 A p r 2 6 M a y 3 M a y 1 M a y 1 7 M a y 2 4

6.8% 6% 5.1% 5.3% 6.9% 9.5% 10.7% 10.2% 8.6% 6.6% 5.1% 2.8% 12.2% 0% 0% 0%

Percent Positivity

Treat all patients without crisis care.

HOSPITALS →

HOSPITAL BEDS

0% 25% 50% 75% 100% A p r 4 A p r 6 A p r 8 A p r 1 A p r 1 2 A p r 1 4 A p r 1 6 A p r 1 8 A p r 2 A p r

• 2

2 A p r 2 4 A p r

• 2

6 A p r 2 8 A p r 3 M a y 2 M a y 4 M a y 6 M a y 8 M a y 1 M a y 1 2 M a y 1 4 M a y 1 6 M a y 1 8 M a y 2 M a y 2 2 M a y 2 4 M a y 2 6

Inpatient beds used for COVID patients (data not reported until 4/10) Inpatient beds in use Inpatient beds available

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

0% 25% 50% 75% 100%

M a r 2 7 M a r 2 9 M a r 3 1 A p r 2 A p r 4 A p r 6 A p r 8 A p r 1 A p r 1 2 A p r 1 4 A p r 1 6 A p r 1 8 A p r 2 A p r 2 2 A p r 2 4 A p r 2 6 A p r 2 8 A p r 3 M a y 2 M a y 4 M a y 6 M a y 8 M a y 1 M a y 1 2 M a y 1 4 M a y 1 6 M a y 1 8 M a y 2 M a y 2 2 M a y 2 4 M a y 2 6

ICU beds with COVID patients (data not reported until 4/10) ICU Beds in Use Available ICU beds

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

INTENSIVE CARE UNIT HOSPITAL BEDS

M a r 2 8 M a r 3 A p r 1 A p r 3 A p r 5 A p r 7 A p r 9 A p r 1 1 A p r 1 3 A p r 1 5 A p r 1 7 A p r 1 9 A p r 2 1 A p r 2 3 A p r 2 5 A p r 2 7 A p r 2 9 M a y 1 M a y 3 M a y 5 M a y 7 M a y 9 M a y 1 1 M a y 1 3 M a y 1 5 M a y 1 7 M a y 1 9 M a y 2 1 M a y 2 3 M a y 2 5 M a y 2 7

Vent use by COVID patients (data not reported until 4/10) Ventilators in use Ventilators available

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

VENTILATORS

TESTING →

Robust testing program in place for at- risk healthcare workers, including emerging antibody testing and trace contacts of COVID-19 results.

Testing Blitz Announced 4/27/2020

TESTING BY DAY

3500 7000 10500 14000 A p r 1 6 A p r 1 8 A p r 2 A p r 2 2 A p r 2 4 A p r 2 6 A p r 2 8 A p r 3 M a y 2 M a y 4 M a y 6 M a y 8 M a y 1 M a y 1 2 M a y 1 4 M a y 1 6 M a y 1 8 M a y 2 M a y 2 2 M a y 2 4 M a y 2 6

8,055 6,481 4,686 7,724 8,069 10,318 6,487 7,828 9,778 7,600 11,449 9,645 6,759 12,502 8,799 7,489 5,145 3,733 5,367 4,198 1,436 2,308 2,104 652 1,945

All labs Diagnostic (PCR) Antibody (Serology)

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

287,605 202,914 84,691

• DR. CARA CHRIST

ARIZONA DEPARTMENT OF HEALTH SERVICES

CONTINUED PRIORITIES

AREAS WE CONTINUE TO MONITOR AND ASSIST

• Testing residents and staff in all Medicare Certified Skilled Nursing Facilities

(SNF).

• Testing residents and staff in assisted living facilities.
• Serology testing for correctional officers.
• Providing Support to the Navajo Nation.
• Monitoring increasing numbers in Yuma County.

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

ENSURING HOSPITAL CAPACITY

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

• Over the last few weeks we’ve worked to implement the Arizona Surge Line,

which has been identified as a best practice by the Centers for Medicare and Medicaid Services (CMS)

• The Surge Line offers free statewide 24/7 call line for hospitals and their

providers that optimizes hospital resources by quickly coordinating the transfer, admission, and discharge of patients statewide

• Facilitated the transfers of over 400 patients to the appropriate level of care

throughout the state ARIZONA SURGE LINE

GOVERNOR DUCEY ISSUES NEW EXECUTIVE ORDER

ENSURING HOSPITAL CAPACITY

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

• Requires hospitals to utilize statewide centralized bed placement system that

facilitates the transfer of suspected or confirmed COVID-19 patients to appropriate levels of care.

• Requires hospitals to update bed openings frequently, and requires them to

accept patients when clinically appropriate and when their resources allow.

• Ensures that patients that are transferred to a hospital/facility by the Arizona

Surge Line are considered in-network by their insurance provider, so they do not get charged out of network costs.

MAJOR GENERAL MICHAEL MCGUIRE

ARIZONA NATIONAL GUARD ARIZONA DEPARTMENT OF EMERGENCY AND MILITARY AFFAIRS

NAVAJO NATION

• Arizona National Guard deployed to Tuba City via UH-60 Blackhawk helicopter to

assess the hospital and deliver PPE.

• 76 hours of UH-60 Blackhawk helicopter flying hours
• 10 hours of C-12 aircraft flying hours
• A four-aircraft flyover
• Two dedicated Blackhawk helicopters and crews on 24-hour alert for emergent

medical evacuation of patients

• 10 training classes to a total of 170 members of the Navajo Nation on the proper

use of PPE and PPE conservation

• Medical experts to support hospital operations and surge planning
• Two Alternate Care Sites: one in Chinle, AZ and one in Shiprock, NM, creating an

additional 100-bed capacity

ONGOING SUPPORT

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

NAVAJO NATION

ONGOING SUPPORT

• 4 medics to support Chinle Alternate Care Site (ACS) operations
• 14 personnel for staffing at the ACS
• Testing site support and food stocking and distribution operations
• Coordinated food and water donations, and food and water distribution including
• Deployment of four potable water tanks with 5,000 gallons each to four sites for

multiple weeks on the Navajo Nation

• Coordinated donation and delivery of 30,000 liter bottles of water
• Coordination to increase medical staffing for Tuba City Hospital.
• Delivered goods to Window Rock, Chinle.
• Continued testing support to Tuba City Hospital.

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

10 MILLION MASKS 
 AND NEARLY 
 500,000 FACE SHIELDS 
 DISTRIBUTED TO ARIZONA COUNTIES FOR LONGTERM-CARE FACILITIES AND HOSPITALS.

WHERE WE ARE TODAY →

OUR PLAN: RETURNING THE ARIZONA WAY

GRADUAL & PHASED IN

BALANCE PUBLIC HEALTH & RETURNING STRONGER INCREASE TESTING TO RETURN IN MAY WHILE MAINTAINING STRONG PHYSICAL DISTANCING PHASE IN RETURN BASED ON THE RECOMMENDATIONS BY THE CDC AND HEALTH EXPERTS THROUGH MAY AND JUNE

W I T H S C H O O L L E A D E R S W I T H S C H O O L L E A D E R S

CONTINUED PARTNERSHIP WITH SCHOOL LEADERS

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

• Productive meeting led in partnership with Superintendent Kathy

Hoffman.

• Received input from school leaders from across the state and Schools are

eager to get back to class.

• Schools are seeking clear guidance, and flexibility to tailor the guidance

to meet the needs of their specific school district.

ANNOUNCEMENT

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

SCHOOLS TO RESUME AT THE START OF THIS SCHOOL YEAR

• We’re planning ahead.
• Superintendent Hoffman will release guidance for schools
• n Monday, June 1st.
• This guidance was informed by school leaders, teachers,

parents and public health experts from the Arizona Department of Health Services.

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

ANNOUNCEMENT

EXECUTIVE ORDER TO SUPPORT OUR SCHOOLS

• In our meeting, Superintendents asked for flexibility around the child

care ratios for school based child care programs.

• Today, we’re announcing a responsible plan developed by ADHS that

protect the health of children in school based child care, while allowing for increased childcare capacity for school-aged children.

• We’re going to continue working with our school leaders to ensure the

needs of Arizona children are met.

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

ANNOUNCEMENT

ORGANIZED YOUTH ACTIVITIES

• We know how important staying active is to the

physical and mental health of our children.

• Today, we’re releasing guidance to allow youth

sports can resume, safety and responsibly.

• Summer leagues
• Summer schools
• Day Camps

A P L A N T O R E I N V I G O R AT E A R I Z O N A ’ S E C O N O M Y

RETURNING STRONGER

UNEMPLOYMENT BENEFITS PAID

$0 $100,000,000 $200,000,000 $300,000,000 $400,000,000 1 / 4 / 2 1 / 1 1 / 2 1 / 1 8 / 2 1 / 2 5 / 2 2 / 1 / 2 2 / 8 / 2 2 / 1 5 / 2 2 / 2 2 / 2 2 / 2 9 / 2 3 / 7 / 2 3 / 1 4 / 2 3 / 2 1 / 2 3 / 2 8 / 2 4 / 4 / 2 4 / 1 1 / 2 4 / 1 8 / 2 4 / 2 5 / 2 5 / 2 / 2 5 / 9 / 2 5 / 1 6 / 2 5 / 2 3 / 2

Unemployment Benefits Pandemic Unemployment Assistance

Total Paid in 2020: $1,496,260,314

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

$ 1,458,151,882

$983,207,032 $513,053,282

DEPARTMENT OF ECONOMIC SECURITY

• We continue to make progress beyond. This week alone we’ve paid out

additional dollars:

• $188M Unemployment Insurance Benefits
• $218M in Pandemic Unemployment Assistance
• In total, DES has served over 710,000 Arizonans:
• 572,170 Unemployment Insurance Benefit Initial Claims
• 139,394 Pandemic Unemployment Assistance Initial Claims

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

DEPARTMENT OF ECONOMIC SECURITY

STAY HEALTHY. RETURN SMARTER. RETURN STRONGER.

• New Director Announced
• Michael Wisehart
• Career Public Servant
• 20 Year Veteran of DES
• Instrumental in the creation of the Arizona Department of Child

Safety, Arizona’s Second Chance Centers, Enrichment Centers for Childcare For Essential Workers

• Tom Betlach
• Arizona appreciates Director Betlach’s service, returning from

retirement when the state needed him most.

• Tom is committed to continuing to provide assistance to Director

Wisehart through the transition.

W I T H L O C A L C O M M U N I T I E S

STAY HOME. STAY HEALTHY. STAY CONNECTED. RETURN STRONGER.

$441 MILLION

x

FOR ARIZONA COUNTIES, CITIES, & TOWNS 
 
 DIRECT PAYMENTS
 MAXIMIZED FLEXIBILITY 
 MINIMIZED RED TAPE

$150 MILLION

x

EXPRESS PAY RESOURCES FAST-TRACKED FEMA REIMBURSEMENTS FOR CORONAVIRUS RELATED EXPENDITURES

RESOURCES FOR LOCAL COMMUNITIES

STAY HEALTHY | RETURN SMARTER | RETURN STRONGER